Abstract：
Recent advancement in surgical treatment of haemorrhoidal disease is not accessible by low socio-economic group of patient in a peripheral hospital of an underdeveloped country, where we aimed to evaluate the outcome of conventional surgeries. This descriptive, prospective, observational study was performed from diagnosis of haemorrhoidal disease to surgical intervention and followed up 12 months post operatively. Clinico-pathological data and outcome in the form of complications and recurrence within follow-up period was studied. Total 64 adult patients with mean age 38.6 years and male female ratio 1.7:1 were included in this study. Mean duration of symptoms was 13 months, reflects late presentation. Two (2) piles mass was seen most frequent in 36(56.3%) cases and most of the patients i.e. 44(68.8%) had haemorrhoids only on primary sites (3, 7 and 11 o\'clock) of anal canal, but 18(28.1%) had mixed primary and secondary position of haemorrhoids. Similarly among those who had more than one haemorrhoid, grade 4 was commonest 35(53.1%) followed by only grade 3 in 15(23.4%) cases but mixed grade 3 and 4 was seen in 10(15.6%) patient. Complication less recovery was seen in 56(87.5%) cases, where delayed wound healing and pain was reported in 2(3.6%) patient each, followed by 1(1.6%) each reported urinary retention, anal sepsis, primary bleeding and reactionary bleeding. Mean hospital stay was 4 days. Conventional surgeries are equally efficacious and cost effective option for management of operable haemorrhoidal disease at any setup.
摘要：
在不发达国家的外围医院中，低社会经济群体的患者无法获得痔病外科治疗的最新进展，我们的目标是评估常规手术的结果。这个描述性的，prospective,从痔病的诊断到手术干预进行观察性研究，并在术后12个月进行随访。研究了随访期内并发症和复发的临床病理数据和结局。本研究包括64名平均年龄为38.6岁，男性女性比例为1.7：1的成年患者。症状的平均持续时间为13个月，反映了后期的介绍。在36例（56.3%）病例中最常见的是两（2）桩块，大多数患者即44例（68.8%）仅在肛管的主要部位（3、7和11点）有痔疮，但18（28.1%）有混合的主要和次要位置的痔疮。同样，在患有一种以上痔疮的人中，4级是最常见的35例(53.1%),只有15例(23.4%)中的3级,但10例(15.6%)患者出现3级和4级混合.56例（87.5%）患者并发症恢复少，其中2例（3.6％）患者报告伤口愈合延迟和疼痛，其次是1例（1.6％），每个报告尿潴留，肛门败血症,原发性出血和反动性出血。平均住院时间为4天。在任何设置下，常规手术对于可手术的痔疮疾病的管理都是同样有效且具有成本效益的选择。
